Pacific Health Group-posted 1 day ago
$29 - $32/Yr
Full-time • Mid Level
Hybrid • Larkspur, CA
51-100 employees

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs. As a Lead Case Manager, you won’t just create care plans—you’ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won’t just coordinate clinical visits. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.

  • Frequent In-Person Visits to Members
  • Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
  • Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away.
  • Comprehensive Care Coordination
  • End-to-End Service Arrangement: Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
  • Case Management with a Heart
  • Empathetic Assessments: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
  • Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
  • Resource Management
  • Bridge to Community Services: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
  • Patient Advocacy
  • Champion for Members’ Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
  • Communication
  • Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
  • Documentation
  • Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
  • Continuous Improvement
  • Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
  • Regulatory Compliance
  • Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
  • Professional Development
  • Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
  • Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.
  • 3-5 years in case management, social services, or healthcare
  • Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management
  • Understanding of healthcare systems and local community resources
  • Strong communication, empathy, and cultural competence
  • Proven time management skills and attention to detail
  • Competence using case management software and related tools
  • Successful completion of a pre-screen assessment required
  • Possess a valid California Driver’s License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to pass a Motor Vehicle Report (MVR) background check prior to employment.
  • Genuine Empathy & Compassion
  • Needs Assessment & Care Planning
  • Service Coordination & Navigation
  • Client Advocacy
  • Motivational Interviewing
  • Problem-Solving & Decision-Making
  • Teamwork & Collaboration
  • 160 Hours of Paid Time Off (PTO)
  • 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
  • 4 Paid Volunteer Hours per Month to support causes you care about
  • Bereavement Leave, including Fur Baby Bereavement
  • 90% Employer-paid Employee-Only Medical Benefits
  • Flexible Spending Account (FSA)
  • Short-Term & Long-Term Disability | AD&D
  • Employee Assistance Program (EAP)
  • 401(k) with Company Match
  • Monthly Stipend
  • Opportunities for professional development and internal growth
  • Employee Discounts via Great Work Perks and Perks at Work
  • Quarterly In-Person Events
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service